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A New Approach to Acute Coronary Syndromes: Occlusion MI (OMI) vs. Non-Occlusion MI (NOMI)

…non STEMI (NSTEMI), and unstable angina (UA) has guided clinical decision making for decades but carries several limitations, most notably its reliance on ST segment…

Left bundle branch block (LBBB) in acute myocardial infarction: the Sgarbossa criteria

…structural and ischemic heart disease. Assessment of ischemia on ECG is difficult in the presence of left bundle branch block. This is because left bundle…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…haemodynamic instability, anaemia and other nephrotoxic exposures may contribute to tubular injury, making attribution to contrast alone difficult. In patients with normal renal function, the…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…source material does not provide a distinct symptom profile, physical examination pattern or biomarker signature specific to CTOs. Evaluation and physical examination Evaluation should establish:…

Spontaneous Coronary Artery Dissection

…aged women. The condition is often under recognized or misdiagnosed, making accurate angiographic diagnosis particularly important. The precise initiating mechanism is incompletely defined. Several associations…

Ventricular Tachycardia

…structural heart disease (SHD) and structurally normal hearts, a division that profoundly influences prognosis and therapeutic decision making. Structural Heart Disease (SHD): Accounting for approximately…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…the diagnosis of HF Estimating disease severity and prognosis Contributing to longitudinal assessment and risk stratification They are useful in both acute and ambulatory presentations…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…ESC) Evidence based management/treatment. These 9 aspects are all necessary to become confident in ECG interpretation and making clinical decisions using the ECG. Interestingly…

Acute Limb Ischaemia: Recognition and Urgent Management

…approximately 4–6 hours, making ALI a medical emergency in which prompt recognition, specialist assessment and restoration of perfusion are essential. The abrupt arterial obstruction…

Coronary Anatomy and Segmental Classification for the Clinician

…Coronary angiography remains primarily an anatomical examination, whereas contemporary decision making increasingly combines anatomical imaging with functional assessment. A central practical principle is that the…

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